Provide our Pharmacist or Pharmacy Technician with the Rx numbers from the prescriptions you already have.

Your Prescription will be process through your insurance company. Once approved by your insurance company, you will be notified of any CO-Pay and your order will be shipped.

Available Items

Full Name:

Adress:

City:

State:

Zip Code:

Phone:

Email:

By submitting this information, I authorize Direct Pharmacy Source and
its affiliates, subsidiaries, or parent company to contact me by phone and contact my doctor in order to
obtain a valid prescription.

Please be assured that we value and protect your privacy.

Direct Pharmacy Source will ship your order ONLY after receiving a valid prescription for
items ordered.

Click here to view the FDA's policy on properly disposing of unused medications.

Click here to update your personal and medical information and submit it to Direct Pharmacy Source.

A pharmacist is available Monday - Friday 9:00AM - 5:00PM at 877-997-4276.